# EAST JEFFERSON PHYSICIANS GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922293372
- **Authorized official:** MICHELE BEAUPRE (DIRECTOR)
- **Authorized official phone:** (504) 503-6783

## Contact information

- **Practice address:** LCMC PAYOR ENROLLMENT, 1100 POYDRAS ST, SUITE 2500, NEW ORLEANS, LA 70163-1101
- **Practice address phone:** (504) 527-9953
- **Practice address fax:** (504) 527-9950
- **Mailing address:** LCMC PAYOR ENROLLMENT, 1100 POYDRAS ST, SUITE 2500, NEW ORLEANS, LA 70163-1101
- **Mailing address phone:** (504) 527-9953
- **Mailing address fax:** (504) 527-9950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 05/30/2024